US2023098031A1PendingUtilityA1

Methods for cell imaging

Assignee: MASSACHUSETTS GEN HOSPITALPriority: Dec 11, 2019Filed: Dec 10, 2020Published: Mar 30, 2023
Est. expiryDec 11, 2039(~13.4 yrs left)· nominal 20-yr term from priority
G01N 33/5759C07D 491/147A61P 35/00C07D 311/82C07D 403/12C07D 207/404C07D 407/14G01N 33/582C07D 207/267C07D 257/08C07D 403/14C07D 209/14C07D 307/93C07K 16/2863C07K 16/2803C07D 237/26C07D 405/12C07C 271/22C07K 16/00G01N 33/57492
42
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Claims

Abstract

The present application provides a compound of Formula (A), or a pharmaceutically acceptable salt thereof, wherein R1, L1, n, L2, m, L3, p, Y2, and Y3 are as described herein. Methods of using the compound of Formula (A) to prepare an antibody conjugate, and methods of using these conjugates for cellular imaging are also described.

Claims

exact text as granted — not AI-modified
What is claimed is: 
     
         1 . A compound of Formula (A): 
       
         
           
           
               
               
           
         
         or a pharmaceutically acceptable salt thereof, wherein: 
         R 1  is selected from H, halo, C 1-6  alkyl, C 1-6  haloalkyl, C 1-6  alkoxy, and C 1-6  haloalkoxy; 
         each L 1  is independently selected from N(R N ), O, C(═O), S, S(═O), S(═O) 2 , C 1-6  alkylene, C 3-7  cycloalkylene, C 6-10  arylene, —(OCH 2 CH 2 ) x —, —(CH 2 CH 2 O) x , —(OCH(CH 3 )CH 2 ) x —, and —(CH 2 CH(CH 3 )O) x —, 
         n is an integer from 1 to 10; 
         each L 2  is independently selected from N(R N ), O, C(═O), S, S(═O), S(═O) 2 , C 1-6  alkylene, C 3-7  cycloalkylene, C 6-10  arylene, —(OCH 2 CH 2 ) x —, —(CH 2 CH 2 O) x , —(OCH(CH 3 )CH 2 ) x —, and —(CH 2 CH(CH 3 )O) x —, 
         m is an integer from 1 to 10; 
         each L 3  is independently selected from N(R N ), O, C(═O), S, S(═O), S(═O) 2 , C 1-6  alkylene, C 3-7  cycloalkylene, C 6-10  arylene, —(OCH 2 CH 2 ) x —, —(CH 2 CH 2 O) x , —(OCH(CH 3 )CH 2 ) x , —(CH 2 CH(CH 3 )O) x , and a moiety formed by a click reaction, wherein said C 1-6  alkylene, C 3-7  cycloalkylene, C 6-10  arylene, —(OCH 2 CH 2 ) x , —(CH 2 CH 2 O) x , —(OCH(CH 3 )CH 2 ) x , and —(CH 2 CH(CH 3 )O) x — are each optionally substituted with 1, 2, 3, 4, or 5 substituents independently selected from OH, NH 2 , C 1-6  alkylamino, di(C 1-6 -alkyl)amino, C 1-6  haloalkyl, C 1-6  alkoxy, C 1-6  haloalkoxy, and (L 4 ) o -Y 3 ; 
         each L 4  is independently selected from N(R N1 ), O, C(═O), S, S(═O), S(═O) 2 , C 1-6  alkylene, C 3-7  cycloalkylene, C 6-10  arylene, —(OCH 2 CH 2 ) x —, —(CH 2 CH 2 O) x , —(OCH(CH 3 )CH 2 ) x —, and —(CH 2 CH(CH 3 )O) x —, 
         p is an integer from 1 to 20; 
         is an integer from 1 to 10; 
         each x is independently an integer from 1 to 2,000; 
         each R N  is independently selected from H, C 1-3  alkyl, C 1-3  haloalkyl, and (L 4 ) o -Y 3 ; 
         each R N1  is independently selected from H, C 1-3  alkyl, and C 1-3  haloalkyl; 
         Y 1  is selected from NR c1 R 1A , OR 2 , and C(═O)R 3 ; 
         R 1A  selected from H, an amine protecting group, and a residue of a fluorophore; 
         R 2  is selected from H, an alcohol protecting group, and a residue of a fluorophore; 
         R 3  is selected from OR a1  and a residue of a fluorophore; 
         Y 2  is selected from C(═O)OR a1 , NR c1 R 4 , OR 5 ; and a group reactive with a side chain of an amino acid of a protein; 
         R a1  is selected from H and a carboxylic acid protecting group; 
         R c1  is selected from H, C 1-3  alkyl, and C 1-3  haloalkyl; 
         R 4  is selected from H and an amine protecting group; 
         R 5  is selected from H and an alcohol protecting group; and 
         Y 3  is a chemical group that is reactive in a biorthogonal chemical reaction. 
       
     
     
         2 . The compound of  claim 1 , wherein Y 3  comprises a chemical group selected from an azide (—N 3 ), an aliphatic alkyne (—C≡CH), a cyclooctyne, a cyclooctene, a cyclohexene, a nitrone, an isocyanide, a cyclopropene, a norborene, a diphenylphosphine, nitrile imine, a tetrazole, a nitrile oxide, and a tetrazine. 
     
     
         3 . The compound of  claim 1 , wherein the compound of Formula (A) has Formula (I): 
       
         
           
           
               
               
           
         
         or a pharmaceutically acceptable salt thereof, wherein:
 R 1  is selected from H, halo, C 1-6  alkyl, C 1-6  haloalkyl, C 1-6  alkoxy, and C 1-6  haloalkoxy; 
 each L 1  is independently selected from N(R N ), O, C(═O), S, S(═O), S(═O) 2 , C 1-6  alkylene, C 3-7  cycloalkylene, C 6-10  arylene, —(OCH 2 CH 2 ) x —, —(CH 2 CH 2 O) x , —(OCH(CH 3 )CH 2 ) x —, and —(CH 2 CH(CH 3 )O) x —, 
 n is an integer from 1 to 10; 
 each L 2  is independently selected from N(R N ), O, C(═O), S, S(═O), S(═O) 2 , C 1-6  alkylene, C 3-7  cycloalkylene, C 6-10  arylene, —(OCH 2 CH 2 ) x —, —(CH 2 CH 2 O) x , —(OCH(CH 3 )CH 2 ) x —, and —(CH 2 CH(CH 3 )O) x —, 
 m is an integer from 1 to 10; 
 each L 3  is independently selected from N(R N ), O, C(═O), S, S(═O), S(═O) 2 , C 1-6  alkylene, C 3-7  cycloalkylene, C 6-10  arylene, —(OCH 2 CH 2 ) x —, —(CH 2 CH 2 O) x , —(OCH(CH 3 )CH 2 ) x —, and —(CH 2 CH(CH 3 )O) x —, 
 p is an integer from 1 to 10; 
 each x is independently an integer from 1 to 2,000; 
 each R N  is independently selected from H, C 1-3  alkyl, and C 1-3  haloalkyl; 
 Y 1  is selected from NR c1 R 1A , OR 2 , and C(═O)R 3 ; 
 R 1A  selected from H, an amine protecting group, and a residue of a fluorophore; 
 R 2  is selected from H, an alcohol protecting group, and a residue of a fluorophore; 
 R 3  is selected from OR a1  and a residue of a fluorophore; 
 Y 2  is selected from C(═O)OR a1 , NR c1 R 4 , OR 5 ; and a group reactive with a side chain of an amino acid of a protein; 
 R a1  is selected from H and a carboxylic acid protecting group; 
 R c1  is selected from H, C 1-3  alkyl, and C 1-3  haloalkyl; 
 R 4  is selected from H and an amine protecting group; and 
 R 5  is selected from H an alcohol protecting group. 
 
       
     
     
         4 . The compound of any one of  claims 1 - 3 , wherein:
 R 1  is H;   n is an integer from 1 to 5, and each L 1  is selected from NH, O, C(═O), C 1-6  alkylene, and C 6-10  arylene;   m is an integer from 1 to 5, and each L 2  is independently selected from NH, O, C(═O), C 1-6  alkylene, C 6-10  arylene, —(OCH 2 CH 2 ) x —, —(CH 2 CH 2 O) x , —(OCH(CH 3 )CH 2 ) x —, and —(CH 2 CH(CH 3 )O) x —;   x is an integer from 2 to 10;   p is an integer from 1 to 15;   each L 3  is independently selected from N(R N ), O, C(═O), C 1-6  alkylene, C 6-10  arylene, C 3-7  cycloalkylene, and a moiety formed by a click reaction, wherein said C 1-6  alkylene, C 3-7  cycloalkylene, and C 6-10  arylene are each optionally substituted with 1, 2, 3, or 4 substituents independently selected from OH and (L 4 ) o -Y 3 ;   each R N  is independently selected from H and (L 4 ) o -Y 3 ;   is an integer from 1 to 5; and   each L 4  is independently selected from NH, O, C(═O), and C 1-6  alkylene.   
     
     
         5 . The compound of  claim 4 , wherein:
 R 1  is H;   n is an integer from 1 to 5, and each L 1  is selected from NH, O, C(═O), C 1-6  alkylene, and C 6-10  arylene;   m is an integer from 1 to 5, and each L 2  is independently selected from NH, O, C(═O), C 1-6  alkylene, C 6-10  arylene, —(OCH 2 CH 2 ) x —, —(CH 2 CH 2 O) x , —(OCH(CH 3 )CH 2 ) x —, and —(CH 2 CH(CH 3 )O) x —;   x is an integer from 2 to 10; and   p is an integer from 1 to 7, and each L 3  is independently selected from NH, O, C(═O), C 1-6  alkylene, C 6-10  arylene, and —(OCH 2 CH 2 ) x —.   
     
     
         6 . The compound of  claim 4 , wherein:
 R 1  is H;   n is 1 and L 1  is C 1-6  alkylene;   m is 4, and each L 2  is independently selected from NH, C(═O), C 1-6  alkylene, and —(OCH 2 CH 2 ) x —;   p is 3, and each L 3  is independently selected from NH, O, and C(═O); and   x is an integer from 2 to 10.   
     
     
         7 . The compound of  claim 1 , wherein the compound of Formula (A) is selected from any one of the following compounds: 
       
         
           
           
               
               
           
         
         wherein: 
         the sum of p1 and p2 is less than p by at least 1, and 
         R 6  is selected from H and C 1-6  alkyl. 
       
     
     
         8 . The compound of  claim 3 , wherein the compound of Formula (I) is selected from any one of the following compounds: 
       
         
           
           
               
               
           
         
         or a pharmaceutically acceptable salt thereof. 
       
     
     
         9 . The compound of  claim 1 , wherein the compound of Formula (A) is selected from any one of the compounds depicted in  FIGS.  1 A,  15 ,  16 A,  16 B,  22 A,  22 B,  23 - 33 ,  35 , and  36   , and described in the examples 1, 3, 9, 10, 11, 12, and 13, or a pharmaceutically acceptable salt thereof. 
     
     
         10 . The compound of  claim 3 , wherein the compound of Formula (I) is selected from any one of the compounds depicted in  FIGS.  16 A,  16 B,  22 A, and  22 B , or a pharmaceutically acceptable salt thereof. 
     
     
         11 . A protein conjugate of Formula (B): 
       
         
           
           
               
               
           
         
         or a pharmaceutically acceptable salt thereof, wherein: 
         A is a residue of a protein; 
         y is an integer from 1 to 10; 
         R 1  is selected from H, halo, C 1-6  alkyl, C 1-6  haloalkyl, C 1-6  alkoxy, and C 1-6  haloalkoxy; 
         each L 1  is independently selected from N(R N ), O, C(═O), S, S(═O), S(═O) 2 , C 1-6  alkylene, C 3-7  cycloalkylene, C 6-10  arylene, —(OCH 2 CH 2 ) x —, —(CH 2 CH 2 O) x , —(OCH(CH 3 )CH 2 ) x —, and —(CH 2 CH(CH 3 )O) x —, 
         n is an integer from 1 to 10; 
         each L 2  is independently selected from N(R N ), O, C(═O), S, S(═O), S(═O) 2 , C 1-6  alkylene, C 3-7  cycloalkylene, C 6-10  arylene, —(OCH 2 CH 2 ) x —, —(CH 2 CH 2 O) x , —(OCH(CH 3 )CH 2 ) x —, and —(CH 2 CH(CH 3 )O) x —, 
         m is an integer from 1 to 10; 
         each L 3  is independently selected from N(R N ), O, C(═O), S, S(═O), S(═O) 2 , C 1-6  alkylene, C 3-7  cycloalkylene, C 6-10  arylene, —(OCH 2 CH 2 ) x —, —(CH 2 CH 2 O) x , —(OCH(CH 3 )CH 2 ) x , —(CH 2 CH(CH 3 )O) x , and a moiety formed by a click reaction, wherein said C 1-6  alkylene, C 3-7  cycloalkylene, C 6-10  arylene, —(OCH 2 CH 2 ) x , —(CH 2 CH 2 O) x , —(OCH(CH 3 )CH 2 ) x , and —(CH 2 CH(CH 3 )O) x — are each optionally substituted with 1, 2, 3, 4, or 5 substituents independently selected from OH, NH 2 , C 1-6  alkylamino, di(C 1-6 -alkyl)amino, C 1-6  haloalkyl, C 1-6  alkoxy, C 1-6  haloalkoxy, and (L 4 ) o -Y 3 ; 
         each L 4  is independently selected from N(R N1 ), O, C(═O), S, S(═O), S(═O) 2 , C 1-6  alkylene, C 3-7  cycloalkylene, C 6-10  arylene, —(OCH 2 CH 2 ) x —, —(CH 2 CH 2 O) x , —(OCH(CH 3 )CH 2 ) x —, and —(CH 2 CH(CH 3 )O) x —, 
         p is an integer from 1 to 20; 
         is an integer from 1 to 10; 
         each x is independently an integer from 1 to 2,000; 
         each R N  is independently selected from H, C 1-3  alkyl, C 1-3  haloalkyl, and (L 4 ) o -Y 3 ; 
         each R N1  is independently selected from H, C 1-3  alkyl, and C 1-3  haloalkyl; 
         Y 1  is selected from NR c1 R 1A , OR 2 , and C(═O)R 3 ; 
         R 1A , R 2 , and R 3  are each independently a residue of a fluorophore; 
         R c1  is selected from H, C 1-3  alkyl, and C 1-3  haloalkyl; 
         each W is selected from:
 (i) O of a side chain of serine, threonine, or tyrosine of the protein A; 
 (ii) S of a side chain of cysteine of the protein A; 
 (iii) NH of a side chain of lysine of the protein A; and 
 (iv) C(═O) of a side chain of aspartic acid or glutamic acid of the protein A; 
 
         Y 2  is a residue of a group which, prior to conjugation with the protein A, was a group reactive with a side chain of an amino acid of the protein A; and 
         Y 3  is a chemical group that is reactive in a biorthogonal chemical reaction. 
       
     
     
         12 . The protein conjugate of  claim 11 , wherein Y 3  comprises a chemical group selected from an azide (—N 3 ), an aliphatic alkyne (—C≡CH), a cyclooctyne, a cyclooctene, a cyclohexene, a nitrone, an isocyanide, a cyclopropene, a norborene, a diphenylphosphine, nitrile imine, a tetrazole, a nitrile oxide, and a tetrazine. 
     
     
         13 . The protein conjugate of  claim 11 , wherein the compound of Formula (B) has Formula (II): 
       
         
           
           
               
               
           
         
         or a pharmaceutically acceptable salt thereof, wherein: 
         A is a residue of a protein; 
         y is an integer from 1 to 10; 
         R 1  is selected from H, halo, C 1-6  alkyl, C 1-6  haloalkyl, C 1-6  alkoxy, and C 1-6  haloalkoxy; 
         each L 1  is independently selected from N(R N ), O, C(═O), S, S(═O), S(═O) 2 , C 1-6  alkylene, C 3-7  cycloalkylene, C 6-10  arylene, —(OCH 2 CH 2 ) x —, —(CH 2 CH 2 O) x , —(OCH(CH 3 )CH 2 ) x —, and —(CH 2 CH(CH 3 )O) x —, 
         n is an integer from 1 to 10; 
         each L 2  is independently selected from N(R N ), O, C(═O), S, S(═O), S(═O) 2 , C 1-6  alkylene, C 3-7  cycloalkylene, C 6-10  arylene, —(OCH 2 CH 2 ) x —, —(CH 2 CH 2 O) x , —(OCH(CH 3 )CH 2 ) x —, and —(CH 2 CH(CH 3 )O) x —, 
         m is an integer from 1 to 10; 
         each L 3  is independently selected from N(R N ), O, C(═O), S, S(═O), S(═O) 2 , C 1-6  alkylene, C 3-7  cycloalkylene, C 6-10  arylene, —(OCH 2 CH 2 ) x —, —(CH 2 CH 2 O) x , —(OCH(CH 3 )CH 2 ) x —, and —(CH 2 CH(CH 3 )O) x —, 
         p is an integer from 1 to 10; 
         each x is independently an integer from 1 to 2,000; 
         each R N  is independently selected from H, C 1-3  alkyl, and C 1-3  haloalkyl; 
         Y 1  is selected from NR c1 R 1A , OR 2 , and C(═O)R 3 ; 
         R 1A , R 2 , and R 3  are each independently a residue of a fluorophore; 
         R c1  is selected from H, C 1-3  alkyl, and C 1-3  haloalkyl; 
         each W is selected from:
 (i) O of a side chain of serine, threonine, or tyrosine of the protein A; 
 (ii) S of a side chain of cysteine of the protein A; 
 (iii) NH of a side chain of lysine of the protein A; and 
 (iv) C(═O) of a side chain of aspartic acid or glutamic acid of the protein A; 
 
         Y 2  is a residue of a group which, prior to conjugation with the protein A, was a group reactive with a side chain of an amino acid of the protein A. 
       
     
     
         14 . The protein conjugate of  claim 11 , wherein the protein conjugate of Formula (B) is selected from any one of the following formulae: 
       
         
           
           
               
               
           
         
         or a pharmaceutically acceptable salt thereof, 
         wherein: 
         the sum of p1 and p2 is less than p by at least 1, and 
         R 6  is selected from H and C 1-6  alkyl. 
       
     
     
         15 . The protein conjugate of  claim 13 , wherein the protein conjugate of Formula (II) is selected from any one of the following formulae: 
       
         
           
           
               
               
           
         
         or a pharmaceutically acceptable salt thereof, 
         wherein: 
         the sum of p1 and p2 is less than p by at least 1, and 
       
     
     
         16 . A method of examining a cell or a component of a cell, the method comprising:
 (i) contacting the cell with a protein conjugate of any one of  claims 11 - 15  comprising the residue of the fluorophore, or a pharmaceutically acceptable salt thereof,   (ii) imaging the cell with an imaging technique; and   (iii) after (ii), contacting the cell with a compound of Formula (C):
   Y 4 -(L 4 ) a -Q   (C),
 
 or a pharmaceutically acceptable salt thereof, wherein: 
 each L 4  is independently selected from N(R N ), O, C(═O), S, S(═O), S(═O) 2 , C 1-6  alkylene, C 3-7  cycloalkylene, C 6-10  arylene, —(OCH 2 CH 2 ) y —, —(CH 2 CH 2 O) y —, —(OCH(CH 3 )CH 2 ) y —, and —(CH 2 CH(CH 3 )O) y —, 
 a is an integer from 1 to 10; 
 each R N  is selected from H and C 1-3  alkyl; 
 each y is an integer from 1 to 2,000; 
 Q is a residue of a quencher; and 
 Y 4  is a chemical group that is reactive in a biorthogonal chemical reaction, 
 wherein the contacting of step (iii) results in decrease of the fluorescence of the fluorophore in the conjugate of any one of  claims 11 - 15 , or a pharmaceutically acceptable salt thereof. 
   
     
     
         17 . The method of  claim 16 , wherein Y 4  comprises a chemical group selected from an azide (—N 3 ), an aliphatic alkyne (—C≡CH), a cyclooctyne, a cyclooctene, a cyclohexene, a nitrone, an isocyanide, a cyclopropene, a norborene, a diphenylphosphine, nitrile imine, a tetrazole, a nitrile oxide, and a tetrazine. 
     
     
         18 . The method of  claim 16 , wherein Y 4  in formula (C) is complementary to Y 3  in the conjugate of any one of  claims 11 - 15 , or a pharmaceutically acceptable salt thereof. 
     
     
         19 . The method of  claim 16 , comprising:
 (i) contacting the cell with a conjugate of any one of  claims 11 - 15  comprising the residue of the fluorophore, or a pharmaceutically acceptable salt thereof,   (ii) imaging the cell with an imaging technique; and   (iii) after (ii), contacting the cell with a compound of Formula (III):   
       
         
           
           
               
               
           
         
         
           or a pharmaceutically acceptable salt thereof, wherein: 
           R 6  is selected from H, C 1-6  alkyl, and C 1-6  haloalkyl; 
           each L 4  is independently selected from N(R N ), O, C(═O), S, S(═O), S(═O) 2 , C 1-6  alkylene, C 3-7  cycloalkylene, C 6-10  arylene, —(OCH 2 CH 2 ) y —, —(CH 2 CH 2 O) y —, —(OCH(CH 3 )CH 2 ) y —, and —(CH 2 CH(CH 3 )O) y —, 
           a is an integer from 1 to 10; 
           each R N  is selected from H and C 1-3  alkyl; 
           each y is an integer from 1 to 2,000; and 
           Q is a residue of a quencher; 
           wherein the contacting of step (iii) results in decrease of the fluorescence of the fluorophore in the conjugate of any one of  claims 11 - 15 , or a pharmaceutically acceptable salt thereof. 
         
       
     
     
         20 . A method selected from:
 profiling a cell;   examining a cell using a cytometry technique;   diagnosing a disease or condition of a subject by examining pathology of a cell obtained from the subject;   monitoring progression of disease or condition of a subject by examining pathology of a cell obtained from the subject; and   detecting a disease biomarker in a cell;   the method comprising:
 (i) obtaining a cell from the subject; and 
 (ii) examining the cell according to the method of any one of  claims 16 - 19 . 
   
     
     
         21 . The method of  claim 20 , wherein the cell is obtained from the subject using image-guided biopsy, fine needle aspiration (FNA), surgical tissue harvesting, punch biopsy, liquid biopsy, brushing, swab, touch-prep, fluid aspiration or blood analysis. 
     
     
         22 . The method of  claim 20 , wherein the cell is selected from a cancer cell, an immune system cell, and a host cell. 
     
     
         23 . The method of  claim 20 , wherein the protein in the conjugate of any one of  claims 11 - 15  is selected from an antibody, an antibody fragment, an engineered antibody, a peptide, and an aptamer. 
     
     
         24 . The method of  claim 23 , wherein the antibody is specific to an antigen which is a biomarker of a disease or condition. 
     
     
         25 . The method of  claim 24 , wherein the disease or condition is cancer. 
     
     
         26 . The method of  claim 25 , wherein the cancer is selected from lymphoma, breast cancer, skin cancer, lymphoma nodes, head and neck cancer, and oral cancer. 
     
     
         27 . The method of  claim 24 , wherein:
 the biomarker of the disease or condition is PD-L 1 ; and   the disease or condition is head and neck squamous cell carcinoma (HNSCC).   
     
     
         28 . A method of preparing an activated ester of a compound comprising a carboxylic acid group, the method comprising
 i) reacting the compound comprising a carboxylic acid group with an excess amount of an activating reagent to obtain a reaction mixture comprising the activated ester; and   ii) contacting the reaction mixture with a compound of Formula (D):   
       
         
           
           
               
               
           
         
         or a pharmaceutically acceptable salt thereof, wherein: 
         R 7  is C 1-3  alkyl; and 
         M is C 2-6  alkylene; 
         wherein the contacting of the reaction mixture obtained in step i) with the compound of Formula (D), or a pharmaceutically acceptable salt thereof, deactivates the excess of the activating reagent in the reaction mixture. 
       
     
     
         29 . The method of  claim 28 , wherein
 the activated ester is selected from N-hydroxysuccinimide (NHS) ester, nitrophenol ester, pentafluorophenol ester, and hydroxybenzotriazole ester;   the activating reagent is selected from BOP, PyBOP, PyAOP, PyBrOP, BOP-Cl, HATU, HBTU, HCTU, TATU, TBTU, TDBTU, TSTU, TNTU, TPTU, DEPBT, and CDI, or a salt thereof, and   the compound of Formula (D), or a pharmaceutically acceptable salt thereof, deactivates the excess of the activating reagent by chemically reacting with the activating reagent and forming a compound of Formula (E):   
       
         
           
           
               
               
           
         
       
     
     
         30 . The method of  claim 28 , wherein:
 the activated ester is selected from N-hydroxysuccinimide (NHS) ester;   the activating reagent is TSTU:   
       
         
           
           
               
               
           
         
         or a salt thereof; 
         the compound of Formula (D) is a compound ENBA of formula: 
       
       
         
           
           
               
               
           
         
         or a pharmaceutically acceptable salt thereof; and 
         the compound of Formula (D), or a pharmaceutically acceptable salt thereof, deactivates the excess of the activating agent by chemically reacting with the activating reagent and forming a compound of formula:

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